Wayne Everthan Blackwood
Wayne Everthan Blackwood is a Technician in Parkville, Maryland. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
2914 E Joppa Rd Ste 201Parkville, MD 21234-3045
Phone: (443) 635-1423
Fax: (410) 882-0970
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Technician (primary) | Taxonomy 374700000X |
|---|
Record details
| NPI number | 1093582827 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 12, 2023 |
| Last updated in NPPES | December 12, 2023 |
| Certification date | December 11, 2023 |
| Mailing address | 2914 E Joppa Rd Ste 201, Parkville, MD 21234-3045 |